Individual provider Active NPI

Deborah P Mecca-Valente, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1073549218
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400272 Issued in NY
Practice address
33 Cherry Laurel LN
Amherst, NY 14228-1356
Phone
(716) 316-5842
Fax
(716) 205-0824
NPI assigned
Jun 22, 2006
Last updated
Jan 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400272 NY Primary
Mental Health Counselor 101YM0800X 400272 NY

Addresses

Primary practice location

33 Cherry Laurel LN
Amherst, NY 14228-1356

Mailing address

33 Cherry Laurel LN
Amherst, NY 14228-1356
Phone (716) 316-5842

Other identifiers 1

IdentifierTypeStateIssuer
1073549218MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000890 NY Practitioner - Certified Clinical Nurse Specialist (CNS) 2365338878 Reassigns benefits to 1 organization
Practice locations: Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities of BuffaloGroup PAC ID 0941196588, 6 clinicians

Practice addresses (Care Compare)

76 W Humboldt Pkwy
Buffalo, NY 14214-2605
Phone (716) 835-9745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Buffalo CurrentSince Feb 1, 2020 Accepting new patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

741 Delaware Ave
Buffalo, NY 14209

76 W Humboldt Pkwy
Buffalo, NY 14214
Phone (716) 835-9745

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1073549218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHERRY LAUREL LN",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281356",
            "telephone_number": "716-316-5842",
            "fax_number": "716-205-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHERRY LAUREL LN",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281356",
            "telephone_number": "716-316-5842",
            "fax_number": "716-205-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCA-VALENTE",
        "first_name": "DEBORAH",
        "middle_name": "P",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400272",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "400272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073549218",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion",
            "affiliation": "N",
            "endpointDescription": "software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33 Cherry Laurel Ln",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.